Clinical Trial: Child Health Improvement Through Computer Automation of Constipation Management in Primary Care

Study Status: Completed
Recruit Status: Unknown status
Study Type: Interventional

Official Title: Child Health Improvement Through Computer Automation of Constipation Management in Primary Care

Brief Summary: This project seeks to expand an existing computerized decision support system used in pediatric primary care. The expanded system will add a module that helps clinicians recognize constipated children and then provides evidence-based reminders for constipation management, as well as automates patient educational materials. The current system is deployed across multiple sites, and the constipation module will be randomized to deployment in different sites. The difference in constipation management and patient outcomes will then be compared between sites receiving the intervention and sites not receiving the intervention over a 12 month period.

Detailed Summary:
Sponsor: William E. Bennett, Jr.

Current Primary Outcome: Number of patients with persistent constipation within 6 months [ Time Frame: All visits within 6 months of initial constipation complaint. ]

Parents are asked if constipation is still present at a subsequent visit within 6 months.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Number of patients who receive a screening workup - Celiac panel and/or T4/TSH within 6 months [ Time Frame: All visits within 6 months of initial constipation complaint. ]
    Presence or absence of screening workup for celiac disease or hypothyroidism for patients with constipation plus "red flags" of weight loss or vomiting. (Gathered as an observation by the computer system at each visit).
  • Number of patients who receive a sub-specialty referral within 6 months [ Time Frame: All visits within 6 months of initial constipation complaint. ]
    Presence or absence of a gastroenterology or endocrinology referral (gathered as an observation by the computer system at each visit).


Original Secondary Outcome: Same as current

Information By: Indiana University

Dates:
Date Received: January 26, 2015
Date Started: February 2015
Date Completion: March 2017
Last Updated: March 25, 2015
Last Verified: March 2015